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Egan Ave. looking north, Madison, South Dakota (75659)Photo: "Tichnor Quality Views," Reg. U. S. Pat. Off. Made Only by Tichnor Bros., Inc., Boston, Mass. · Public domain
≈ A−Health Grade
Health in Madison · CDC PLACES 2025

On CDC estimates, Madison is healthier than 78% of U.S. towns

On every measure CDC estimates, Madison looks like South Dakota as a whole.

Modeled estimates for adults 18+, CDC’s own estimate for Madison. How CDC estimates town health

What stands out

What stands out about health in Madison

Health Grade

What’s behind Madison’s grade

On seven CDC estimates for adults, Madison is healthier than 78% of U.S. towns, #15 of 35 in South Dakota. All seven estimates beat the typical U.S. town. The strongest is physical distress (fewer adults with frequent physical distress than 82% of towns); the weakest is smoking, still better than 63%.

A−Self-rated health16.3% · SD 17.3% · U.S. 19.4%
A−Physical distress11.9% · SD 12.3% · U.S. 13%
A−Mental distress15.2% · SD 15.3% · U.S. 15.9%
A−Obesity31.8% · SD 35.9% · U.S. 32.9%
A−Diabetes10.3% · SD 11.7% · U.S. 12%
BSmoking13.4% smoke · SD 15.2% · U.S. 11.8%
B+Exercise22.9% · SD 24.1% · U.S. 24.7%
All U.S. towns we grade (21,250)Healthier than 78%
Less healthyHealthier
South Dakota towns we grade (35)Healthier than 59%
U.S. towns with similar incomes, $49K–$82K (10,036)Healthier than 96%

Health estimates follow income closely across the country: towns with higher household incomes usually score higher (a correlation of 0.77 across 21,157 graded towns). Madison’s median household income is $65,593; among the 10,036 U.S. towns within 25% of that ($49K–$82K), it’s healthier than 96%, more than its income alone would suggest.

Most South Dakota towns score higher on these estimates than towns elsewhere, so within the state Madison is healthier than 59% of graded towns, against 78% nationally.

A rough placement. CDC’s likely ranges are wide here: with every estimate at one end or the other, Madison could be anywhere from C+ to A. The letter shows with “≈”.

How TownRatings grades health →

Chronic conditions

Out of every 100 Madison adults…

On every condition, Madison is about the same as South Dakota. Tap one to see it as people.

31 of every 100 Madison adults have high blood pressure
South Dakota: 33 in 100 · about the same · likely 27.7–35.3%
Better than SDWorseAbout the sameSouth Dakota
Getting care

Care in and near Madison

No hospital or community health center in Madison itself. These are the nearest.

HNearest ERMadison Regional Health SystemMadison · 1 miDirections →
+Low-cost careHorizon Health CareHoward · 20.8 mi · sliding-scale feesDirections →
1 mi
Madison Regional Health System
Madison · not rated
ERRural critical access
20.8 mi
Horizon Health Care
5 sites · nearest in Howard
Sliding-scale fees
Directions to nearest
23.1 mi
Avera Dells Area Hospital - Cah
Dell Rapids · not rated
ERRural critical access
25.9 mi
Avera Flandreau Hospital - Cah
Flandreau · not rated
ERRural critical access
26.8 mi
Brookings Health System
Brookings · ★★★★★
ER
26.9 mi
Rural Health Care
2 sites · nearest in Brookings
Sliding-scale fees
Directions to nearest
✓ Primary careMadison is not a shortage area
✓ Dental careMadison is not a shortage area
✓ Mental healthNo HRSA shortage area covers Madison itself

Hospitals: Medicare overall star ratings, 1–5. Community health centers charge on a sliding scale by income. Distances are straight-line from the center of Madison; ≈ marks a hospital located by its town, not its street. Shortage areas: HRSA Health Professional Shortage Areas (a “population” designation covers specific residents, such as those with low incomes).

Habits

Everyday habits, side by side with South Dakota

Share of adults, with the South Dakota figure marked.

Get no exercise 22.9%SD 24.1%
Sleep under 7 hours 32%SD 29.7%
Binge drink 19.7%SD 18.8%
Smoke cigarettes 13.4%SD 15.2%
0%10%20%30%40%
Madison, betterMadison, worseAbout the sameSouth Dakota
Where Madison gets moving

2.8 miles of trails across 3 parks and preserves

Parks & trails →
Checkups & screenings

Keeping up with care

Share of Madison adults getting routine care. The full ring is 100%; the dark tick marks South Dakota.

75%Yearly checkupSD 77%
68%Dentist visitSD 69%
83%Cholesterol checkSD 85%
68%Colon screeningSD 66%
76%MammogramSD 77%
75%Taking BP medsSD 76%
1 in 11
working-age adults has no health insurance
Madison 9% · South Dakota 1 in 11 (8.8%)
Mind & connection

How Madison adults are doing

About the same as South Dakota on each measure.

1 in 5Madison adults have been diagnosed with depression
20.3% · SD 21.2% · About the same as SD
1 in 7Madison adults are in frequent mental distress
15.2% · SD 15.3% · About the same as SD
The one neighbors can help with

A hello is a start.

Groups are the easiest way in: a walking group, a book club, your street.

Find a group →

If you or someone you know is struggling, call or text 988, the Suicide & Crisis Lifeline. It’s free, confidential and open 24/7.

Around town

Madison and the towns around it

How health changes across the town line.

Lake View Township: 32.2%Herman Township: 32.3%Le Roy Township: 32.3%Wentworth Township: 32%Lake Madison: 32.7%Franklin Township: 32.4%Winfred Township: 34.2%Farmington Township: 32.6%Orland Township: 32.3%Nunda Township: 34%Rutland Township: 32.4%Madison: 31.8%MadisonLake View TownshipHerman TownshipLe Roy TownshipMadison Regional Health System · Madison · 1 miH
Healthier than SDNear SDLess healthyHHospital+Health center
Obesity
#1 of 12 towns on this map, healthiest first
Madison31.8%
Lake View Township32.2%
Herman Township32.3%
Le Roy Township32.3%
SD35.9%

Nearby towns are shaded from CDC’s estimates for their ZIP codes, or CDC’s own figure for cities and villages.

Health next door

TownHealthObesityDiabetesSmokingFigures from
MadisonA−31.8%10.3%13.4%CDC place
Lake View Township————
Herman Township————
Le Roy Township————

Lake View Township, Herman Township and Le Roy Township: fewer than 1,000 residents. Same-state neighbors only, ordered by length of shared border.

Disability

Living with a disability

Shown without a better/worse judgment.

29.4%

of Madison adults live with a disability (South Dakota 30.1%). Thinking or memory is the most common.

Walking or climbing stairs12.3%
Thinking or memory13.8%
Hearing8.2%
Errands alone7.8%
Vision4.6%
Dressing or bathing3.4%
South Dakota

Every CDC estimate for Madison

Share of adults, 33 measures, with CDC’s likely range.

On the 26 measures below that have a better and a worse direction, Madison is better than South Dakota on 0 and worse on 0; on the rest, the South Dakota figure falls inside Madison’s likely range, so we call them about the same. Disability and SNAP are described, not compared as better or worse.

Adults who…MadisonSDU.S.vs SD
Overall health
Fair or poor health16.3%13.7–19.117.3%19.4%About the same
Frequent physical distress (physical health not good 14+ days a month)11.9%10.3–13.712.3%13%About the same
Frequent mental distress (mental health not good 14+ days a month)15.2%13.3–17.315.3%15.9%About the same
Conditions
Obesity31.8%24.8–39.835.9%32.9%About the same
Diabetes10.3%8.8–1211.7%12%About the same
High blood pressure31.4%27.7–35.333.3%34.4%About the same
High cholesterol (adults screened in 5 years)32%28.2–36.234%37.1%About the same
Arthritis24.3%21.4–27.425.8%25.3%About the same
Asthma9.9%8.8–11.310.1%9.9%About the same
Cancer, other than skin cancer8.9%8.1–9.89.2%7.9%About the same
Coronary heart disease6.6%5.8–7.46.8%6.4%About the same
COPD6.5%5.5–7.66.7%6.3%About the same
Stroke3.4%3–3.83.5%3.4%About the same
Lost all teeth (ages 65+)12%9.6–14.612.7%12.3%About the same
Habits
Smoke cigarettes13.4%11–1615.2%11.8%About the same
No exercise outside work22.9%18.9–27.624.1%24.7%About the same
Binge drinking19.7%16.5–23.518.8%15.4%About the same
Sleep under 7 hours32%25.7–3929.7%36%About the same
Checkups and coverage
No health insurance (ages 18–64)9%7.2–11.48.8%11%About the same
Checkup in the past year75.1%71.3–7976.5%77.4%About the same
Dentist visit in the past year68.2%64.6–71.669.2%63.2%About the same
Cholesterol check in 5 years82.8%80.3–85.184.8%87.1%About the same
Taking blood pressure medicine (adults with high blood pressure)75.1%72.4–77.775.9%76.5%About the same
Colorectal cancer screening (ages 45–75)68%62.7–73.165.5%65.5%About the same
Mammogram in 2 years (women 50–74)76.1%68–82.976.6%76.4%About the same
Mind and connection
Ever told they have depression20.3%17.3–2421.2%20.6%About the same
Disability
Any disability29.4%25.3–34.130.1%30.1%About the same
Difficulty walking or climbing stairs12.3%10.4–14.412.9%13.6%About the same
Difficulty concentrating or remembering13.8%11.9–1613.7%13.9%About the same
Hearing difficulty8.2%7.2–9.28.2%6.7%About the same
Vision difficulty4.6%4–5.34.7%5.4%About the same
Difficulty doing errands alone7.8%6.7–9.17.8%7.9%About the same
Difficulty dressing or bathing3.4%2.9–3.93.5%3.8%About the same

Each figure is the share of adults 18+ unless the label says otherwise; small numbers after it are CDC’s likely range (95% interval). “About the same” means the South Dakota figure falls inside that range.

Questions about health in Madison

Is Madison a healthy place to live?

On seven CDC estimates for adults, Madison is healthier than 78% of U.S. towns: ≈ A− for health, #15 of 35 in South Dakota. Among U.S. towns with similar household incomes it’s healthier than 96%. These are modeled estimates of who lives there, not a measure of local care or habits alone.

What is the obesity rate in Madison?

CDC estimates 31.8% of adults have obesity, likely between 24.8% and 39.8%, against 35.9% across South Dakota and 32.9% nationally.

What hospital is closest to Madison?

Madison Regional Health System in Madison, 1.0 miles in a straight line from Madison’s center point, is the nearest general hospital with an emergency room; it has no Medicare star rating.

How many people in Madison have no health insurance?

CDC estimates 9% of adults ages 18–64 have no health insurance (likely 7.2–11.4%), against 8.8% across South Dakota.

How accurate are these numbers?

They’re modeled estimates: CDC applies national survey answers to each area’s age, sex, race and education mix, so they describe who lives in Madison more than anything measured there. At the ends of CDC’s ranges the grade could be anywhere from C+ to A.

Neighbors talk health

Doctors taking patients, urgent care, staying active in Madison.

Town Square →
Ask your neighbors

Health estimates: CDC PLACES: Local Data for Better Health, 2025 release. The South Dakota figure combines its counties, weighted by adult population. Hospitals and star ratings: Medicare Care Compare (CMS). Health centers and shortage areas: HRSA. The Health Grade is our own summary of CDC’s estimates, not an official rating. Ages: U.S. Census Bureau, American Community Survey. Town boundaries: U.S. Census Bureau. This page isn’t medical advice. In an emergency, call 911.